Mortgage Application

My Mortgage Company, Inc. · NMLS #2269164 · CA DRE #02168831

256-bit encryptedGLBA compliant

Step 1 of 10: Loan & Property0% complete

Loan & Property

Borrower Info

Employment

Assets

Liabilities

Real Estate Owned

Co-Borrower

Declarations

Gov. Monitoring

Review & Sign

Section 1 — Loan & Property Information

Tell us about the loan you're applying for and the property.

1a · Loan Information

Loan Purpose*

Loan Amount*

Do not include $ or commas

Loan Type*

Loan Term*

Amortization Type*

Interest Rate (%)

Optional — leave blank if unknown

1b · Property Information

Street Address*

Unit / Apt

City*

State*

ZIP Code*

County

Property Type*

Number of Units

For multi-unit only

Year Built

1c · Purpose & Occupancy

Occupancy*

By submitting this application, you acknowledge receipt of the GLBA Privacy Notice. Your information is protected under the Gramm-Leach-Bliley Act, California CCPA, and E-SIGN Act. This is not a loan commitment or approval. Omar L. Ortiz · NMLS #951384 · CA DRE #02056548 · My Mortgage Company, Inc. · NMLS #2269164 · CA DRE #02168831
Equal Housing Opportunity ⊕